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Delayed treatment of appendectomy that causes systemic inflammatory response syndrome: a rare complication

Health 2011年第2期3卷 116-117页

作者： Ayten saracoglu kemal tolga saracoglu Belkis Aylu Vural Fidan 不详

When acute appendicitis is present and lately treated, further complications will occur against patients. This case report describes an unusual presentation of acute appendicitis in a young patient and demonstrates a unique late compli- cation of perforated appendicitis. A 15 year old female acute appendicitis patient had lapara- tomy accompanied systemic inflammatory re- sponse syndrome (SIRS) symptoms. After treatment of 6 days in the intensive care unit (ICU), the patient was healed. We emphasize the importance of early treatment for acute appen- dicitis and septic complications.

关键词： Sepsis SIRS Apendectomy Apses Complication

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Unavoidable myomectomy during cesarean section: a case report

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Health 2011年第3期3卷 156-158页

作者： Ayse Nur Aksoy kemal tolga saracoglu Mehmet Aksoy Ayten saracoglu 不详

Since myomectomy throughout cesarean deliv- ery may lead to hemorrhage and uterinal atony, it is not recommended. But, myomectomy has been reported during cesarean section in recent studies. We presented a patient with large in- tramural myoma who was diagnosed at 34 weeks of pregnancy and operated with an unavoidable cesarean-combined myomectomy. A 33-year-old unpursued primigravida was referred to emer- gency department with abdominal pain and amenorrhea of 34 weeks duration. A sonographic diagnosis of myoma in pregnancy was made. Cesarean section was required for fetal distress and alive 2300 g weighted male infant with Ap- gar score of 6 at one minute, was born. As uterine incision could not be closed because of the myoma, myomectomy was performed dur- ing cesarean section unavoidably. A single 970 g and 15 × 18 cm sized myoma was removed. The physical examinations were unremarkable in the postoperative period. Although there are case series that have demonstrated the safety of myomectomy during cesarean section, we con-cluded that myomectomy during cesarean section is not a safe procedure accept inevitable situa-tions.

关键词： Pregnancy Cesarean Section Myoma

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